conference programme and abstracts book - Sudanjp.org

Summaryand Conclusions:The role of the PDSN is varied and at times complex.The following attempts to list the principal e1ements:-I. Clinical Care.2. Liaison with:- School- Primary Health Care Teams- Employers3. Teaching- Children and Parents- General Practitioners study day- Nurses- Ward staff up date- Teachers4. Advocacy and counselling5. Organisational skills.Clinical and Echocardiographic Featuresof Ebstein Anomaly in Sudanese Patients,High Prevalence and Unreported AssociationsSulafa KM Ali, Nuha A AlnumairiSudan Heart CentreEbstein anomaly (EA) of the tricuspid valve is a rare congenital heart disease thatconstitutes about 0.5% of all congenital heart disease. This study is a prospective followup of all patients with EA seen at two cardiology clinics (Sudan Heart Centre andJafaar Ibn Ouf Children's Hospital) from July 2004 to March 2005. Diagnosis of EAwas based on the echocardiographic demonstration of apical displacement of the septalleaflet of the tricuspid valve by > 8mm/m2 with abnormal attachment of the septalleaflet to the interventricular septum.Results: In a 9 months period we identified 13 patients satisfying the criteria for EA.EA constituted 1.2 % of all patients with congenital heart disease. The age ranged from2 weeks to 35 years with a mean of 12 years. Five patients (38%) were asymptomatic.Seven patients (53%) presented with CHF, 4 were in NYHA class Ill-IV and 3 were